Download PDF
CC BY-NC-ND 4.0 · Thorac Cardiovasc Surg Rep 2024; 13(01): e1-e3
DOI: 10.1055/a-2228-7405
Case Report: Cardiac

Right Atrium Primary Cardiac Lymphoma Causing Heart Failure

Angel Doño 
1   Department of Surgery, The University of Tennessee Health Science Center, Memphis, Tennessee, United States
,
Cassidy Lounsbury
1   Department of Surgery, The University of Tennessee Health Science Center, Memphis, Tennessee, United States
,
Harvey Edward Garrett Jr
2   The Cardiovascular Surgery Clinic, Memphis, Tennessee, United States
› Author Affiliations
› Further Information
Also available at
   Permissions and Reprints

Abstract

Background Patients with primary cardiac tumors may present with symptoms based on the size and location of the tumor. Symptoms may include congestive heart failure secondary to intracardiac obstruction, systemic embolization, arrhythmias, and constitutional symptoms.

Case Description A patient presented with new onset atrial fibrillation and heart failure. Workup including open surgery revealed a primary cardiac lymphoma.

Conclusion Cardiac tumors present with a variety of symptoms and are best evaluated by echocardiogram, computed tomography angiography, and magnetic resonance imaging. Tissue diagnosis is necessary. Although primary cardiac lymphoma is rare, long-term survival after chemotherapy and rituximab is superior to other cardiac malignancies.

Keywords

cardiac - heart failure - imaging (all modalities) - off-pump surgery - positron emission tomography - tumor


Publication History

Received: 22 November 2023

Accepted: 12 December 2023

Accepted Manuscript online:
18 December 2023

Article published online:
22 January 2024

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany